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NBME 22 Answers

nbme22/Block 4/Question#27 (reveal difficulty score)
A 78-year-old man comes to the physician ...
Metastatic carcinoma 🔍 / 📺 / 🌳 / 📖
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 +8  upvote downvote
submitted by ∗notadoctor(175)
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ctttiesaMa aesdise is remo moonmc htan imyrpar oenb mo.ustr

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lba9587  gtMhi be flpheul to scdneori g.e of a glun to.umr neo noil?se yeou’r aenignl unlg yapirmr. lluitMpe slosnie in nugl? TM.ES Q estm eerh eudcd,inl nru“msoeu iytlc sioenls ognal eth ltvraeebr n.cumo”l ,ushT TME.S +
jurrutia  ,losA ipan ahtt is eorsw ta ihgstn dan sepsirts elsadregrs of ctvaiit.y gts' Pea si atcyilpyl satcytopmaim othg(ualh npai is eth smto ocmmno tyommp)s nda dluow heav other innidfsg tomied,iefrs( AV sh,ntsu etc.) +
jurrutia  ,slAo ipna atht is weors at nhtsig nda srisestp sagresdler fo .ttiycavi e'P satg si ypltcliay sticomytaapm (uhghltao apni is the most mcomon pm)tomys nda ludwo aveh herot fisnngdi m(rof,detieis VA ut,ssnh tc)e. +
umpalumpa  cenasdrei LPA si e,wdri regdncioisn ttha the inoesl si tli.c.y +1
l0ud_minority  mumuplap@a I eaegr ytcil niesslo dotn' aemk snese iwth an aeevdlte ALP. ieLk an idiot I hgothtu sloiaedt PAL nad cshoe atgeP siDeaes +



 +5  upvote downvote
submitted by ∗j000(17)
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leptulim olymema si hte tsom comomn YIMPARR acgniamnyl of oben ohpa(m)ta, os sit' not .MM

si't tno tapge ck(la reoht ,xS odluw lsao ahve lsctircoe ilenso)s

slomyt kllyei aenlr ro ulgn eccanr tesmta ot teh boen

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 +4  upvote downvote
submitted by ∗oznefu(22)
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I’m hgvina otuberl ntursageniddn ywh sith si a ettreb hoccie tahn aPget s,eesiad pelayclise hwti eht sceenraid APL?

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zelderonmorningstar  ’esgPat ludow aslo sowh emso ssi.clores +5
seagull  AKL si ednraisce in eobn anbeowrkd to.o rsotPaet vsole isngepard ot teh lrmbua enp.iS ts'I elik oiancaecckc-r rfo r.ccena +32
aesalmon  I ihtnk eth "Weros at intgh" dnsel eitfsl rmoe owardst t,sme dna eht tp oadmecrspigh ealn rdwtsao tsatoper rcenac, wchhi seolv to go to eht ubmlra pisne via eth Bntoas x.euspl I epkcid ategP tbu i tiknh teyh dwlou aehv eginv mgestihon eorm ellnitg fi ythe awdtne etpg,sa oygsithlo ro hentoar cule +2
fcambridge  @ullaseg adn sloaman,e I nthik yu'roe a bti fof eerh. tosaPrte mste dluwo be a,ctoteiossbl otn oteiyolstc as is ddcbesire ni het n.tvetige +17
sup  Yeah I ehcso 'gaPtse oot zbc I ireugfd fi it 'tsnaw eosttrpa racnce hw(hic sa gdfcarmbe@i iads woudl eentspr /w btaitlossoce lsie)ons yeth oludw vieg su rentaoh npsetiegrn sx of teh taicttmeas rcneac l,g(nu ,nealr nik)s hatt mhigt nopti us ni tath itnd.oeicr I otg eraitddtsc yb eht cenrdaeis ALP oto nda flle fro tagPe (: +1
kernicterusthefrog  dgre@fbmi,ac ont ctaexly. e,sY soterpat tmes ndtse ot eb sotasetbloi,c tbu obuat 30% aer udnof to eb iyclt, pre tihs udt:sy ../Cow8r/mhs/g./Mt2awe/lc52vi6p.cP/lcns4nwp:hiibtm7tn iytnlald,Aiod het higtn noeb anspi niopt to se,tm dna aePg'ts is muhc emro comnomyl nuodf in teh acanlri nebso and pildpurecnaa oesenklt, thna lax.ai This doclu laso be RCC sem!t +
sweetmed  I anmliy ledur uot tegspa suceaeb yeht siad het aslypihc iexmtnonaia saw na.lmor He wlduo def aevh threo mo.yptsms +4
cathartic_medstu  mrFo wath I eemmbrre ormf titsesasamM:oa taPh to noeb is uuyasll iyocteslot hwti tcnoxpeie to teoapr,ts hichw is ,hoie.eorlTceesrtatfob s smte ysas UMROENSU ctyil nioless nad sndous more leik eass.mitats +5
medguru2295  fI sith si taecttsiaM r,aencc it si ykeill M.M MM aspesdr to het apinls ordc dan csaeus Lctyi sl ne.stioI is NOT oertspat as estadt ob.eva ilheW aiAnccoamroend sedo apresd to teh e,otaPstr it cseduorp lyno LTISBAC ins.oesl +

but prostate cancer is not lytic as blastic lesions

+5/- titanesxvi(106)


 +1  upvote downvote
submitted by amphotericin(11)
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I edrul tuo gsePta' auesecb P'gsaet si aysullu elociad,zl per A,F Patam,oh p&a.;BBm uhogtAlh hsti atepint yiiendflet isft eth dgehomracpi puerit,c sotterpa cceran si eyilidntef otn hte yoln cnraec ahtt anc eeaziatsmst to eht e.nsob esBauec eesth aer iytcl esoslni, t'is blobpary eosm ertho ecarnc tta'hs sedrpa to teh nsbeo

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medguru2295  ysisolbP tuMllepi .omyMlae ahtT is scilacs rfo na orlde snreop wthi kbac naip and iylct esinlos ni eth .cabk +
asharm10  oislyeot-ct elltpimu mm,yaelo et-ctbslsiaoO aoest;tPr dotn iktnh ndyeob shti orf tsih me,ax i eahv rvnee sene a qtsneoui ni EBNM ro drlouw yhte edtir to floo su fof no sthi octpnce os fra. +2
euchromatin69  u dwrol 413 maes etcnopc +
skuutnasty  dI' klie ot eietrrtae sh'atw tdaest b..e.avo dx NOT MM ni tish ensitqou ebacesu MM is IRAPYRM otn CEATITTAMS @ enob rsnea(w :aresd ceamttiast irt &a;mc)c3oanl +



 +1  upvote downvote
submitted by ∗imgdoc(183)
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orrsadaohCmcno ouscrc in teh iph ro xaila teolks.en Id' ainigme tath it si fpslceiaclyi edoactl in one eignor rthrae anht tpilemlu noslsei uouthrtogh eht aev.rtreb asthT hwy I luder shit .tuo

I rdelu uot oemrosatsaoc dan ewngi asoacrm dbesa on ega neal.o hseTe tumsor era nsee ni -5251 yaer o,sld nad eth clnaclii aoiansmnitsetf d'tno mhtac .up

egats'P seadeis has na veeldate lanilAke aptehspsoha eev,ll tub ethre odwul eieidtlyfn eb a loicsctre epsha of nbeo otonsp,edii ehtrar anth pemlltiu eystilootc iosnsle. ,Bsisede no a ccinlali vietnetg yhte duowl klat tauob ielannrgg daeh sze,i NC 8 iiemegt,pmnn taserc,fru c.te envE if you ddi go iths or,teu gsate'p eisaesd sucase rtaacssomoeo, nto lemltpiu cytli s.olinse

hisT flet me whit acetismtta crnaimo.ca

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imgdoc  I tyonelsh hthtugo tsih asw uipltelm ymmleoa beorfe I entw teh mcstaietta raanoiccm turoe lol +



 +0  upvote downvote
submitted by ∗paperbackwriter(161)
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I salo shoec gtPae /: but ilrdeaze htis iwchh I t'dndi efb:reo

The aessgt rea not imuonfr csraos ftnfriede ,bsnoe so uoy cldou eavh omse esnbo htat are in teh lcesbioastto tesa,g wiehl erhtso ear ni teh tylic atges .ect

limtri/cpcj%eogmbct./ono0%s2o0labpssg2np0t/hut80seae'/o.e4ga

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paperbackwriter  osp:o jso:aeohb4p8t.c%cb.st2pdgtonmetsn/pi/l0%o0.ocih/0/r'/e0tpeggt/ula2auaolmsps +



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